If the nurse suspects a pulmonary embolism in the client who suddenly complains of chest pain, she or he should immediately:
a. assess for abnormal breath sounds.
b. apply O2 via tight face mask at 8 to 10 L/min.
c. position the client in a supine position with the head of the bed flat.
d. monitor pulse oximetry for decreased oxygen saturation.
ANS: B
Administration of oxygen will increase oxygen saturation and decrease hypoxia; assessing breath sounds and monitoring pulse oximetry provide assessment data but do not correct the problem. A supine position with the head of the bed flat is incorrect because the head of the bed should be elevated to facilitate respiratory function.
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1. primary preventive care. 2. secondary preventive care. 3. tertiary preventive care. 4. primordial preventive care.
The nurse is providing teaching to a patient who will begin taking a cephalosporin to treat an infection. Which statement by the patient indicates a need for further teaching?
a. "I may stop taking the medication if my symptoms clear up." b. "I should eat yogurt while taking this medication." c. "I should stop taking the drug and call my provider if I develop a rash." d. "I will not consume alcohol while taking this medication."
A nurse and social worker co-lead a reminiscence group for eight "elite-old" adults. Which activity is appropriate to include in the group?
a. Performing mild aerobic exercises b. Singing a song from World War II c. Discussing national leadership during the Vietnam War d. Identifying the most troubling story in today's newspaper
Which symptoms should the nurse assess a client for who is at risk for mania?Note: Credit will be given only if all correct choices and no incorrect choices are selected. Select all that apply.
A. Decreased sleep B. Weight loss C. Sluggish activity D. Muscle pain E. Increased talkativeness